03D2219534 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #00032

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Laboratory Demographics

CLIA Number: 03D2219534

Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #00032

Facility Address:
5400 E CAREFREE HWYPO BOX 5482
CAREFREE, AZ
ZIP 85377
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467511519

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	03D2219534
LAB Type	Pharmacy
Facility Name	GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #00032
Street	5400 E CAREFREE HWYPO BOX 5482
City	CAREFREE
State	AZ
ZIP	85377
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024